Emergency Response Team ERT and Fire Safety Training

1. EMERGENCY RESPONSE TEAM (ERT)
AND
FIRE SAFETY TRAINING
BY
Mr. VS.AREYA VARNESH DFS, IOSH
JUNIER ENGGNIEER - SAFETY

2. OBJECTIVES
After this presentation you will know:
 What is ERT?
 ERT Members
 Roles & Responsibilities of ERT members
 Fire Introduction
 Fire Triangle
 What are the Types & Classes of Fire

3. What to do in case of a fire?
Evacuation guideline
Emergency Exit
Fire Fighting & Detecting Equipment’s in Prime Hospitals
Types of Extinguisher in Prime hospital & their usage
Safe rooms
Location of the Assembly Point
Mock drill

4. INTRODUCTION
WHAT IS ERT ( EMERGENCY RESPONSE TEAM ) ?
It is a nominated team identified from the staff who
have been specially trained to provide immediate response
during any ( Code Red or Orange ) emergency situation
as per the defined protocol.

5. ERT MEMBERS
The team comprises of;
Floor incharges / Area incharges
Nursing Supervisor
Fire marshal
Call Center Officer
Security Officer
Mechanical Electrical and Plumbing Team ( MEP )
Clinical Engineering Team
QHSE Officer
FMS Manager

6. ROLE & RESPONSIBILITIES OF ERT MEMBERS
Floor In Charge / Area in Charges
Know your area, the people in it, and at least two safe exit. Guide / direct the patient,
relatives, visitors and staff to evacuate their respective floor smoothly when code
Orange is announced.
Nursing Supervisor
Assess and liaise with the involved department floor in charge / Area in Charge.
Communicate with the head of the Hospital, Health and safety Coordinator, FMS
manager and floor Incharge / Area Incharge in other floor update them about the
situation..
Fire Marshal
Is a trained fire fighter last person to leave the floor. Lead occupants to the
corridor and wait for the announcement / instruction.

7. Call Center Officer
Can announce code Red if they receive instruction from any ERT
members,
They also contact Fire Marshal / Bio Medical Engineer / QHSE officer / Risk
Manager / Civil Defense as and when required.
Clinical Engineering Team
Provide Medical equipment if contacted by ERT members.
MEP Team
Responsible to isolate the medical gas service / provide gas cylinders when
contacted by Safe Room Incharge or any Floor Incharge.
ROLE & RESPONSIBILITIES OF ERT MEMBERS

8. Security Officer
Security staff on duty ( within the building ) to coordinate with other ERT
members and provide necessary support as well as isolate / evacuate / restrict
entry to the building.
Security staff on duty ( out side the building ) to coordinate with other ERT
members and stop the entry of vehicle / patient / visitor to the hospital premises
and also coordinate with the Police / Civil Defenes.
QHSE Officer
Provide fire training to staff, conduct periodic evacuation drill, supports ERT
members when there is any an Emergency ( Internal disaster ). Initiate oversee the
investigation and for the reason also coordinate with Civil defense / Police
ROLE & RESPONSIBILITIES OF ERT MEMBERS

9.  FMS Manager
FMS Manager will investigate the reason & severity of the
incident in coordination With the QHSE Officer / Engineering
Department. HSE Officer and Risk Manager Shall Share their
responsibilities when either of the one is on leave.
ROLE & RESPONSIBILITIES OF ERT MEMBERS

10. FIRE INTRODUCTION ABOUT FIRE
 What is fire?
Fire is basically a chemical reaction combining three
elements:
 Fuel
 Heat
 Oxygen

11. The Fire Triangle
Heat
Oxygen
O2
Combustible Material ( Fuel )

12. REMOVE
Heat
Oxygen O2
Either Fuel, Heat or the Oxygen…
then fire will be extinguished
Combustible Material ( Fuel )

13. THE FIRE TRIANGLE WILL BE
COLAPSED
Combustible
Material ( Fuel )
Heat
Oxygen
O2
The Fire will be Extinguished

14. EG:1
The Fire on the candle gose off when it is covered by
something
Why?
Because the OXYGEN is not
There. It means if one of the
element from the fire triangle is
removed the fire gose off.

15. TYPES OF FIRE
Class A – Normal Combustibles
Class B – Flammable Liquids
Class C – Electrical Circuits, Switch boards, Office
equipment
Class D – Combustible Metal such as Sodium, Potassium
& Magnesium
Class E – Class F/K – Cooking fats and oils

16. Classification / Types of Fire
Extinguished using Water, DCP
 Wood
 Cloth
 Paper
 Rubber
 Many Plastics
Extinguished using DCP & CO2
 Gas line
 Oil
 Grease
 Tar
 Oil-based paint
 Varnish

17. Classification / Types of Fire
Extinguished using CO2
 Energized electrical equipment
 Electrical Circuit
 Switch Boards
 Office equipment
Extinguished using Dry Powder & Sand
 Magnesium
 Sodium
 Potassium
 Other Flammable Metals

18. Classification / Types of Fire
Extinguished using Fire Blanket & CO2
 Fire involving combustible
vegtable or animal non-
saturated cooking fats in
commercial cooking
equipment.
 Recently recognized by
NFPA 10
K

19. COMMON REASONS FOR ELECTRICAL FIRE

20. EARLY DETECTION & FIRE CONTROL
Fire Detection & Alarm System which includes
 Detectors smoke, Heat & Gas
 Manual Call Point ( Break Glass / Press Here )
 Fire alarm bell
 Fire Alarm zone / Master Panels

21. Fire Suppression System which
includes
 Fire Extinguishers
 Fire Blanket
 Fire Hose reel
 Sprinkler System
 Fire Hydrant ( Dry Riser )

22. FIRE FIGHTING & DETECTING
EQUIPMENT

23. FIRE FIGHTING & DETECTING
EQUIPMENT

24. EVACUATION BAGS
Location:
Content:
Control room
Helmet, Loudhailer, Barrier tape,
Crowbar, Gloves, Torch, Dust/Smoke
mask, Spade, Whistle, Reflective vest,
Radio

25. FIRE EXTINGUISHER

26. VARIOUS TYPES OF FIRE
EXTINGUISHERS
Carbon dioxide ( CO2 )
For Electrical Fires
Use the handle to carry-do not
touch the cylinder – once in use the
cylinder will be very cold

27. VARIOUS TYPES OF FIRE
EXTINGUISHERS
Dry Chemical Powder ( DCP )
For Multipurpose

28. TYPES OF EXTINGUISHERS
Dry Powder Extinguisher (Universal extinguisher)
Carbon Dioxide Extinguisher (Electrical Fire)
Foam Extinguisher
Suitable for Class B Fires & Kitchen Fires
Duration of extinguisher : 20 – 30 Sec
“FIRE PREVENTION” IS BETTER THAN “FIRE FIGHTING”

29. FIGHTING THE FIRE
Pull the pin
Aim low at the base of flames
Squeeze the handle
Sweep side to side
HOW TO PROPERLY OPERATE A FIRE EXTINGUISHER

30. WHAT TO DO IN CASE OF A FIRE
escue larm ontain xtinguish

31. WHAT TO DO IN CASE OF A FIRE
Break the Glass Raise the Alarm
MCP – Manual Call Point
Located in all the Floor

32. EMERGENCY TELEPHONE NUMBERS
 Emergency Dial number:
 Ambulance:
 First Aide:
 HSE Office:
 Civil Defense:
 Fire Police:
 Tamilnadu Electricity & Water Authority:
Emergency Service Namely

33. PROVIDE INFORMATION
YOUR NAME:
LOCATION:
TYPE OF FIRE:
WHO ELSE IS THERE WITH YOU?

34. ERT team on hearing announcement code red / code
orange will take charge of the situation to evacuate the
area / floor.
The people evacuated from each floor should assemble at
the nearest Fire Assembly point to follow the
instructions.
Once evacuated the building , the reentering will be
subject to the clearance by ERT- QHSE Officer / FMS
Manager / Govt authority.

35.  What to do in case of a fire?
 Evacuation guideline.
 Emergency Exit.
 Fire Fighting & Detecting Equipment’s in Prime Hospitals
 Types of Extinguishers in Prime Hospital & their usage.
 Safe rooms.
 Location of the Assembly Point.
 Mock drill

36. WHAT SHOULD WE DO BEFORE
EVACUATION
Before evacuating a room or
block, close the windows
and doors behind you

37. EMERGENCY EXIT
There are 26 emergency exits doors here in PH from
rooftop to Basement 2 and 8 exit doors identified to exit
from the building in case of emergency.
There are floor plan & Exit directional signage’s provided
in all floors to reach the final exit in the ground floor
leading to the assembly points.

38. EMERGENCY EVACUATION GUIDELINES
 Code Orange is the Emergency Evacuation Code
 ERT Team take charge of the situation upon code Orange
 Follow the RACE Procedure.
 Evacuate the premises through the nearest emergency exit to the assigned
assembly points.
 Never use Elevator to escape.
 Do not panic, Stay calm, Give clear & exact direction.
 Do not run during evacuation time.
 Assemble at the assembly points till head count is completed and final
clearance is given to re-enter in to the building.

39. ASSEMBLY POINT’s
Infront of the hospital, near to valet parking area

40. MOCK EVACUATION DRILL
 The ERT conducts Evacuation
Drill regularly.
Please attend these Fire Drills.
 The use of Fire Extinguisher is
demonstrated to all staff at the
assembly point as part of the Fire
Safety Training / Drill

41. CENTER MEDICAL GAS SUPPLY
Area Alarm Panel monitors
various gas pressures ( O2 ,
N2O, Air 4 Bar, Air 7 Bar,
Vacuum ) of the area and
gives an alarm if detected
below or above set
pressures.
Area Alarm Panel

42. AVSU – Area Value Service Units
Area Value Service Units-
These need to be closed in case
of a major leakage or Fire ( after ensuring
the availability of portable oxygen
cylinders for patients)